LOGAN DONEVANT

SAVANNAH, GA
NPI1982186276
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367H00000X Anesthesiologist Assistant
(Licence: GA  8994)
Enumeration Date2018-09-03
Last Update Date2023-08-21
Business Address
LOGAN DONEVANT CAA
11705 MERCY BLVD
SAVANNAH, GA 31419-1711
Phone number: 912-819-4100
Mailing Address
LOGAN DONEVANT CAA
5719 PICKENS AVE
MYRTLE BEACH, SC 29577-2223
Phone number: 843-360-9923
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